Active NPI
Anaise E Ikama, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1699166041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 651563-1
- Practice address
- 675 3Rd Ave FL 5
New York, NY 10017-5731 - Phone
- (212) 810-4185
- Fax
- (646) 763-8425
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 651563-1 | NY | Primary |
Addresses
Primary practice location
675 3Rd Ave FL 5
New York, NY 10017-5731
Mailing address
2264 21St St
Astoria, NY 11105-3703
Phone (347) 451-0987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QN51802B | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651563-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1699166041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2264 21ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053703",
"telephone_number": "347-451-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 3RD AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175731",
"telephone_number": "212-810-4185",
"fax_number": "646-763-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKAMA",
"first_name": "ANAISE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "651563-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QN51802B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.